Individual provider Active NPI

Rachel Erin Wood, AU.D.

  • Audiologist-Hearing Aid Fitter
  • Normal, IL
National Provider Identifier
1306072855
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
147.001768 Issued in IL
Practice address
211 Rachel Cooper Campus 4720
Normal, IL 61790-2262
Phone
(309) 438-8641
NPI assigned
Jun 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 7568 LA
Audiologist-Hearing Aid Fitter 237600000X 7568 LA
Audiologist-Hearing Aid Fitter 237600000X 147.001768 IL Primary

Addresses

Primary practice location

211 Rachel Cooper Campus 4720
Normal, IL 61790-2262

Mailing address

211 Rachel Cooper Campus Box 4720
Normal, IL 61790-0001
Phone (504) 568-4338

Other practice location 1

1900 Gravier St
Communication Disorders, 9th floor
New Orleans, LA 70112-2262
Phone (504) 568-4338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201105000418 IL Practitioner - Qualified Audiologist 6800062902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois State UniversityGroup PAC ID 5597088492, 10 clinicians

Practice addresses (Care Compare)

275 S University
211 Rachel Cooper BLDG
Normal, IL 61761-0001
Phone (309) 438-8641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7568LAMDAudiologist
147.001768ILMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois State University Audiologist-Hearing Aid Fitter CurrentSince Jul 23, 2020 Accepting new patients

Locations

4720 Campus
Normal, IL 61790

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1306072855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RACHEL COOPER CAMPUS BOX 4720",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617900001",
            "telephone_number": "504-568-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 RACHEL COOPER CAMPUS 4720",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617902262",
            "telephone_number": "309-438-8641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Gravier St",
            "address_2": "Communication Disorders, 9th floor",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122262",
            "country_code": "US",
            "telephone_number": "504-568-4338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "RACHEL",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "LA",
            "license": "7568",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "7568",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "IL",
            "license": "147.001768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.